Amber Blackwood Miner, MED, LCMHC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11198 Issued in NC

Practice address

1300C Gidney St
Shelby, NC 28150-6822

Phone

(704) 484-2558

NPI assigned

Nov 3, 2014

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Banyan Tree Counseling PLLC

  dba Banyan Tree Counseling and Wellness

  • Counselor
  • Winston Salem, NC
  • NPI 1720619968
  Medicare reassignment NPD
• Orchid Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • York, SC
  • NPI 1790649689
  NPD Authorized official
• Children's Homes of Cleveland County

  • Marriage & Family Therapist
  • Shelby, NC
  • NPI 1467542134

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1992100994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROBERTS AVE",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300C GIDNEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506822",
            "telephone_number": "704-484-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 Healy Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031406",
            "country_code": "US",
            "telephone_number": "336-448-4451",
            "fax_number": "336-450-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "AMBER",
        "middle_name": "BLACKWOOD",
        "credential": "MED, LCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
            "identifier": "11198",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "9199",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Glenn Miller Jr., PT,DPT,MS,CSCS
• Donald S. Miller, M.D.
• Sara Jane Miller, DC
• Shelby Millwood, FNP-C
• Mind & Body Wellness, PLLC
• Amy Liann Mitchell-Parker
• Reed Patrick Mockaitis, DDS, MS, PA
• Bradley Steven Moffitt, D.C.
• Momentum Ministries, Inc.
• Momentum Ministries, Inc.

• Professional Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.